HomeMy WebLinkAbout2226 RUTGERS DR - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - "MIT TRACT NO. LOT NO. BLDG.NO. -
CONSTRUCTION PERMIT - 6-0, 9 ._ • .
Project Address . p � TYPE OF CONSTRUCTION H NEW H ADD H ALTERATION H REPAIR
F L-/ •/.•T,/✓ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Applicant's Malik). Address �-- ��� / pp /� _ A.P.y� Zone
6 4c. APY 04 Phone 774'• 7' DESCRIPTION OF WORK &e,cr.
Owner's Name • _ �[> S Main Building:" ' • Accessory Building: 2
Address � I 1 ' C L l OPT 1• ' TYPE OF PERMIT ❑ GRADING U FOUNDATION LkFSTRUCTURAL E
Front - • 0
N
Arch/Eng. -` v License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL B _ I
s Rear N
El OTHER A
Address H!� /r • Phone 777 C)/ c PROJECT DESCRIPTION SQ. FT. 2.70e9 OCCUPANCY_ C Right • - . G
Contractor's Na • _ .
CONSTRUCTION TYPE VALUATION$ 2/ �.CE) Left R
Address(mailing /� ter'/ —�'/ S ' E
ZONE GRADING CU.YDS._ ACRES Ping. Ref.# Park.Fees $ Q
City License No. •' • U
LICENSED CONTRACTOR DECLARATION Remarks: • Parking Req./Provided - I
I hereby.affirm that I am licensed under provisions of Charter 9(commencing R
with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: • E
my Iicense,is In full force and effect. .
License Class License No. PLUMBING FEES Planning Notes: M
. E
Date Signature - • N
Bar Sink Showers
WORKERS'COMPENSATION DECLARATION - T
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink
of Workers' Compensation- Insurance, or a certified copy thereof (Section .- $
3800, Lab. C.) Backflow Irrigation Sewer Cap - ELECTRICAL - • FEES
7
Policy No. ' Company ' • •
_ Certified copy is hereby furnished. Bathtubs Sewer Connection, Automatic Washer I Transformer ❑ 15-50 KW •
_ Certified copy is filed with the city Building Division.
Date Applicant ' •
•
Clarifiers Solar Collectors - Construction Pole Sub. ❑ 50+KW
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping - CookingUnit Meter ❑u to 100 amps '
(This section need not be completed If the permit is for one hundred($100) or t P P
less). • DrinkingFountains
I certify that in the performance of the work�hich this permit is Issued, Solar Tank Dishwasher Meter Dover 100 amps
shall not employ any person in any man o to become subject to the -
Worker IICo ppeaS ion Laws of Californi _• - / Floor Drains Swimming Pool w/Spa Dryers ❑Gas; DElectric Sub Panel
Date s/F' o71,e9 � Signature !/✓✓t/
NOTICE: If,after making this declarati you shout become subject to the Floor Sinks Urinal Fan Motors DO-1 HP 011/2-8
Workers' Compensation provisions of the Labor Co e, you must forthwith 4
comply .with such provisions or this permit shall be deemed revoked. Gas Service - Outlets Water Closet F.A.U. Inc.Solar ❑9.15 HP 016-15+
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixt -
ures Microwave
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name - Kitchen Sink • Water Service Device Boxes Pole Light
Lender's Address Lavatories
OWNER BUILDER DECLARATION - - Outlets Range
I hereby affirm that I am exempt from the Contractor's License Law for the P—Trap reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair -
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains' , • Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9(commencing with Section 7000)of •
•
Generator ❑0.5 KW ❑5-15 KW Trash Convector
Division 3 of the Business and Professions Code) Or that he/she Is exempt
therefrom and the basis for the alleged exemption. Any violation of Section ,
' 7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee $25 Issue Fee _ $ 3
enalty of not more than five hundred dollars($500).
I, as owner of the property or my employees with wages as their sole • MECHANICAL - • Reinspection Fee $25 'Issue Fee $ 3
compensation, will do the work, and the structure Is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's — — PUBLIC SERVICES REQUIREMENTS: •
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 •
thereon, and who docs such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such Improvements are not intended or offered for Canopy Type II 0
Duct-Under Ground
sale. If, ehowever,wthe building dopro i sold within one year,offrim- Application Approved By Date //
pletion, the owner will have the burden of proving he/She did not build or im- Duct-Structural Refrigerate -System ApplicationBy jjr //r Date ////44g�
•
Pry a-for the purpose of sale). / Issued �'"'
lG'/l, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU '
•
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating • , S Mryg1ARV RF FEES
The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ 'I "' SMTP ESQ -
•
builds or improves thereon, and who contracts for such projects with a con- - Exhaust System'❑ Multiple 0 System Repair/Alteration $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ • PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICRO# PLUMBING $ • ISSUANCE $
Date 1r//Ol�// owner / .i J-.�Cl/ Heating System& Ducting •
I hereby certify that I have rea• thi aPLAN CHECK $ • ENERGY P.C. $
ppith all and state that the above ❑0.100,000 BTU ❑100,00087_ I GRADING $
andInformation is correct. I agree tocomply cost with all ity andhereby authorize
uth ordinances -- - ELECTRICAL $ -
sen state laws helots r to buildingtrco structs b, and dut r er repre-r PLAN CHECK . $ MI CROFT LM $ '
inspection of this/ y toester •• the above-mentioned pr art for
•
Signature purpo
,. I •
Signature y /./. - / / MECHANICAL ' $ q.S
tr _ ���rL.LL,I Date I �a�•� TOTAL FEE $ �/�
Drivers' License or SS#
es
'CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • _ -. _ ._. _ _ - . . _ _
- CONSTRUCTION AND PLANNIN POOL&SPA
APPROVALS Permit# ._ Date Inspector APPROVALS Permit Date Inspector
-1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7; Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final '�
14. Rough Plumbing - - 65. Electrical-Final
'15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - - 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough&Test 72. Underground Flush
2t4. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
n^ ba (fFj
2F. Roof Sheathing f L l -t��p , 74. Overhead Hydro
�..
06. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding • 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: /Z/./$3 ,fin Ci My w7P45TC• t"
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 4* /G/43
48. Special Requirements Completed
al
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - '
51. CERTIFICATE OF OCCUPANCY
No. • Date •
I '4 1J. CITY OF COSTA MESA
41
,;, , BUILDING DIVISION
;' '� DEVELOPMENT SERVICES DEPARTMENT 898-00784
�• PERMIT PERMIT NUMBER
(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2226 RUTGERS DR Status: ISSUED
Suite: Applied: 05/07/1998
Vicinity: Issued: 05/07/1998
Parcel Nunmber: 41906205 Zoning:
Applicant: HIBGEE, THOMAS
Address:
Phone:
Zip:
Owner: NUTTING, JOEL L
Address NUTTING,SANDRA K
HUNTINGTON BEACH,CA Phone:
9451 PIER DR Zip: 92646
Contractor: HIGBEE ROFFING
Address: 8212 WORTHY DR
Phone: 714-891-2549
MIDWAY CITY,CA Zip: 92655
License: 631967
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
T/O&REROOF 700SF FLAT ROOF W/BUILT-UP&REROOF 1000SF RESIDENCE W/COMP
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $0.00
Permit: $74.75 Claimed Valuation: $2,380.00
Other: $0.00
Inspection: $0.00
Total: $75.25
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 ;Proposed: 0
NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days. •
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)7545626
bECLARATIONS -
WORKERS'COMPENSATION DECLARATION:
I here irm under penalty of perjury one of the following declarations:-•
I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compinsation Insurance carrier and policy number are:
Cartier: S9 Te �'r-+rea"" Policy Number: ri c/C—s&''Fr
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: - — `_— • Date: Ar
WARNING:FAILURE TO SECURE WORKER •r PENSATION COVERAGE IS UNLAW L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND COLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES,
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Lic.N 4 3/''6 7 Class ll C-3 9
Contractor's Signature: �J ' 4-� Date: -S-7- 9R-
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code). •
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
O I.as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I. as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to en owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,I.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
o I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions.requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomla Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Qualify Management District or from any other air pollution control district or agency? LI Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential buildingipermits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a Permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safely Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penally of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the Information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si lure Of Legal Owner(s) Date
- s -7-78'
AnNOr Authorized Applicant •
Date
=ES INSPFMInN TYPF DATE ItUmASS ODE/ 11121-nQNYYPE DATE ILffiBAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final ' 208 Final Plumbing •
200 Final Re-Roof ate'?f- 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Are Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
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8075• u L` ��l'.. LC.8� 1�
;Mir 24 W-n G .�
'COSTA MESA BUILDING DEPARTMENT EINA CE DEPT.
P.O. BOX 317
COSTA MESA. CALIFORNIA CITY OF Cr7GTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
AD -RT SS 2226 Rutgers Drive A, B, C BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
Estates,
RECEIPT NO. PER�T,�I�V.�
OWNER Towne Estates, Inc. 80
MAIL '1_ RECEIVED BY GATE RECEIVED D E ISB O
ADDRESS1555 Placentia /7 //- L/-S I fr zY .5
TEL. BUILDING 2 Z� b 1 , e_t C
CITY Newport Beach. Cal, No14I 6-3227 ADDRESS �C / J
ARCHITECT owner LIC.
OR ENGINEER COSTA MESA. CALIFORNIA
NO.
ADDRESSFIRE
SZONE 3
K. }. Koll Const. Co CITY LIC. 8534 ZONE NO.OF TYPE GROUP yy
CONTRACTOR NO. n / IPLANs / / ,�/
ADDRESS same TEL' APPROVE //y/S
EL. same BY !/�9/v DATE
LEGAL
1 2788 CORRECTIONS
DESCRIPTION NO. 16 BLOCK TRACT 2700
A.P.NO. r{A/7 {� �L! R t " 1 ,:l
SIZE 60 `� NO.OF BLOCS. V ate I �l li �-1 I LI A
OF LOT X LDD NOW ON LOT O 6 .�. �U it w
USE OF }[�I j i{'' i l
EXISTING BLDG. I• ({�.,� I�'I �J` I �y �( ILU Jlq)
SETBACK LINE FROM 45 ` LA .y U •L
CENTER OF STREET At• REAR YARD 10
SIDE YARo RIGHT 10 LEFT 10
D. r---f0_'.n
1 �.cJc
E
DESCRIPTION OF WORK APPR
pp VAR. Nc.�g'—APPROVED ��
NEW p ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDING NO OF n
SIZE 2.480 sq ft ROOMS 12 STORIES 2
EXTERIOR WALL ROOF t.
COVERING stucco COVERING hot mop
USE OF
BUILDING Apts. Triplex and attached
3 car garage.
0.V54d'c17 ' 'ice
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO /J
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL D//O - /
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION, VALUATION
SIGNATURE OF PERMIT FEE S .: o-lo
PERMITTEE
$ ss. / 1L37..••• PLAN CHECK S ..-- - —0
AUTHORIZE AGENT TOTAL FEE S 6 res O v5M7